Organization
ADDUS HEALTHCARE (NEVADA), INC.
Active
Other names
SuCasa Personal Care
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DIANE KUMARICH RN, MS, MBA (NATIONAL CONTRACTS)
(702) 868-0355
Entity
Organization
Contact information
Practice address
2140 W CHARLESTON BLVD, SUITE B, LAS VEGAS, NV 89102-2253
(702) 868-0355
(702) 868-0307
Mailing address
2401 S PLUM GROVE RD, PALATINE, IL 60067-7486
(847) 303-5300
(847) 303-5376
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0030022225
—
IL
Enumeration date
03/24/2006
Last updated
05/18/2010
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